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Individual
MRS. SHANNON M ELLER
Active
Individual
MRS. SHANNON M ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CCADC, NCC, CSS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC005894
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001231
GA
Other
Enumeration date
10/20/2009
Last updated
04/03/2019
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